Individual provider · Type 1 NPI

Tyler M. McKinniss, DC

Chiropractor · South Daytona, FL

NPI number 1720451040 Active

Practice location

1614 S Ridgewood Ave Ste 200
South Daytona, FL 32119

Fax (386) 872-4027

Mailing address

5400 S Williamson Blvd Apt 3-310
Port Orange, FL 32128-6539

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X11768 (FL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1720451040

Tyler M. McKinniss, DC's National Provider Identifier is 1720451040, issued on Nov 9, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in South Daytona, FL. The record was last updated on Jun 25, 2018.